| NPI | 1366932782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN TEASDALE Licensed Psychologist 785-434-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 1939) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-01-19 |